Provider Demographics
NPI:1780775692
Name:MILLER, ROBERT ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7816 BARRINGTON PL
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6309
Mailing Address - Country:US
Mailing Address - Phone:402-483-7857
Mailing Address - Fax:402-562-3199
Practice Address - Street 1:4600 38TH ST
Practice Address - Street 2:COLUMBUS COMMUNITY HOSPITAL
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-1664
Practice Address - Country:US
Practice Address - Phone:402-562-3190
Practice Address - Fax:402-562-3199
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21740207P00000X, 207Q00000X
KY30944207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE246982OtherMIDLANDS
NE930112295OtherRR
NE240448OtherCOVENTRY
NE3038OtherBCBS NE
NE930112295OtherRAILROAD
NE930112295OtherRR
F39139Medicare UPIN